Visiting Nurse Association

What Visiting Nurse Association does

Visiting Nurse Association (VNA) is a 501(c)-style nonprofit founded in 1896 and headquartered in Omaha, Nebraska, that delivers community-based healthcare and social services to under-resourced populations across the Omaha-Council Bluffs metropolitan area spanning 11 Nebraska and Iowa counties. Its core service portfolio includes Home Health Aide services for individuals needing non-medical in-home support; Maternal-Child and Family Services (with five sub-programs including Family Connects, Healthy Families America, Love WINs, Physician-Ordered Maternal-Child Healthcare, and Iowa WIN); Flu and Immunization Services offered at clinics and on-site at workplaces and schools; Shelter Nursing Services delivered inside 13+ homeless and domestic violence shelters; and School Health Services under contract with 58 public, private, and parochial schools. In 2012, Easterseals Nebraska merged into VNA, adding disability services (job training, camp and recreation, alternative loan financing, AgrAbility) as a retained sub-brand.

VNA operates a mobile, field-deployed service model in which nurses, home health aides, and paraprofessionals travel to client locations rather than receiving clients at fixed facilities, removing transportation barriers for the populations it serves. The organization does not maintain a proprietary technology platform; its operational backbone consists of programmatic curricula (notably the Growing Great Kids parenting support curriculum) and an in-development learning management system for micro-certifications in healthcare and disability services. Service delivery is human-led across all programs, with no documented AI, machine learning, or data science capabilities.

Revenue in 2025 totaled $6,333,430, sourced principally from federal, state, and community grants and contracts (51%), individual and corporate contributions (32%), direct patient charges (14%), and United Way of the Midlands support (3%). Many services are delivered free or on a sliding scale to clients unable to pay, with $4.1 million in uncompensated community care services provided in 2024. The organization employed 251-500 staff, served 47,602 clients in 2025, and reported 98% employee retention and a 4.25/5 employee satisfaction score; however, 2025 expenses of $8,952,172 exceeded revenue, indicating an operating deficit funded through reserves or endowment draw.

Name

Visiting Nurse Association

Legal name

Visiting Nurse Association

Website

https://vnatoday.org

Company type

Private

Founded year

1896

Operating status

Operating

Headcount range

251–500 employees

Short description

Visiting Nurse Association is a 129-year-old Omaha-based nonprofit delivering home health, maternal-child, shelter nursing, immunization, and school health services to under-resourced populations across the Omaha-Council Bluffs metro area, with Easterseals Nebraska disability services as a retained sub-brand.

Ownership category

akta.pro rank

Product category

Community Healthcare Services

NAICS

Home Health Care Services (62161), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Home Health Care Services (8082), Services-Social Services (8300)

akta.pro primary industry

Medicare-Certified Skilled Home Health Agencies (HHA) (HLADAFAA)

akta.pro secondary industry

Home Health Aide (HHA) Services (Medically Directed) (HSABACAB)

Keywords

• Home health services
• Community nursing care
• Maternal child health
• Shelter nursing services
• School health nursing

Headquarters

HQ city

Omaha

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Grants and Contracts: Federal, state, and community grants along with government contracts represent the largest revenue source at $3,256,708 in 2025. This includes funding from Nebraska and Iowa state programs, federal grants, and contracted services with healthcare systems.
2. Patient Charges and Service Revenue: Direct client billing and service fees generated $912,278 in 2025. Services include home health aide, immunizations, and other community care services paid by insurance or private pay.
3. Donations and Contributions: Individual donations, corporate contributions, and foundation grants totaling $1,995,444 in 2025. Includes planned giving, memorial gifts, and honor gifts.
4. United Way Funding: Ongoing partnership with United Way of the Midlands providing $169,000 in 2025 to support community programs.
5. Special Events: Annual Art & Soup fundraiser and other community events generating revenue for specific programs, particularly shelter nursing services.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

VNA delivers expert, compassionate community-based healthcare and home care services to under-resourced individuals and families across the Omaha-Council Bluffs metro area. Core offerings include Home Health Aide services for independent living, Maternal-Child and Family home visitation programs, Flu and Immunization services, Shelter Nursing in 13+ homeless and domestic violence shelters, and School Health services contracted with area schools. Following its 2012 merger with Easterseals Nebraska, VNA also delivers disability services including AgrAbility, Camp Easterseals, and alternative financing.

Product overview

VNA operates as a unified community health services organization offering a comprehensive portfolio of home-based and community care programs. The core service offerings include Home Health Aide services for individuals needing assistance with daily living activities, Maternal-Child and Family Services with five sub-programs (Family Connects, Healthy Families America, Love WINs, Physician-Ordered Maternal-Child Healthcare, and Iowa WIN), Flu and Immunization Services providing community-wide vaccination clinics, Shelter Nursing Services delivering healthcare in homeless shelters, and School Health Services contracting with area schools. Following a 2012 merger, Easterseals Nebraska operates as a sub-brand providing disability services including Camp Easterseals, Nebraska AgrAbility, Alternative Loan Financing, and Workforce Development. Supporting offerings include free Childbirth Education Classes and the annual Art & Soup fundraiser event. The organization serves the Omaha-Council Bluffs metro area across Nebraska and southwest Iowa counties.

Differentiator

Problem solved

Functional benefit

Brands

• Easterseals Nebraska: Provides exceptional services to help ensure all people with disabilities have an equal opportunity to live, learn, work, and play through top-quality, family-focused, and innovative services.

Products and services

• Home Health Aide Services Non-medical home care services that help individuals maintain safety and independence at home while delaying or preventing transition to higher levels of care such as skilled nursing facilities. Services include bathing, personal hygiene, therapeutic care, light housekeeping, range of motion exercises, repositioning, and transfers. Offered on a sliding-scale fee basis to under-resourced clients in the Omaha-Council Bluffs metro area.
• Maternal-Child and Family Services Voluntary home visitation programs for at-risk families with infants and small children, offering healthcare and supportive services. Includes five sub-programs: Family Connects (universal postpartum nurse home visits partnered with CHI Health hospitals), Healthy Families America, Love WINs, Physician-Ordered Maternal-Child Healthcare, and Iowa WIN. Uses the Growing Great Kids curriculum to support parenting, child health, and family stability.
• Flu and Immunization Services Community immunization services offered at VNA clinics, on-site at workplaces and organizations, and delivered to homebound individuals. Provides flu vaccines, Fluad, FluMist, and COVID-19 vaccines, accepting BCBS, Cigna, Medicare, Medicare Advantage, Medicaid plans, and commercial insurance. Proceeds are reinvested into serving under-resourced populations.
• Shelter Nursing Services VNA is the primary provider of nursing services in 13+ Omaha metro homeless and domestic violence shelters, including Siena Francis House, Open Door Mission, Stephen Center, Bethlehem House, and Micah House. Services include health screenings, treatments, chronic disease monitoring, prenatal education, breastfeeding support, and referrals to housing and social services for individuals experiencing homelessness.
• School Health Services Contracted nursing services for 58 public, private, and parochial schools across the Omaha-Council Bluffs metro area. Provides immunization compliance, health screenings, individual care plans, medication administration, emergency response, and wellness education to promote student health and academic success. Served 24,056 students in 2025.
• Childbirth Education Classes Free five-session classes for teens and low-income parents-to-be covering body changes during pregnancy, labor expectations, pain management, breastfeeding, and newborn care. Part of VNA's Maternal-Child support portfolio.
• Easterseals Nebraska Disability Services Disability services portfolio operated as a wholly-owned sub-brand of VNA since the 2012 merger. Includes job training, employment support, camp and recreation, alternative financing loans, Nebraska AgrAbility agricultural rehabilitation, and workforce development services for people with disabilities across Nebraska. Achieved 97% client satisfaction in 2025.
• Nebraska AgrAbility Agricultural rehabilitation program helping farmers and ranchers with disabilities continue working by providing modified equipment, assistive technology, farmstead accessibility solutions, financial guidance, and coordination of community services. Operated in partnership with UNL Extension, with a demonstration farm being developed as part of Camp Easterseals Nebraska in Blair, Nebraska.
• Alternative Loan Financing Low-interest rate and longer-term loan program providing alternative financing solutions for individuals with disabilities to purchase equipment and services that support independence and accessibility.
• Camp Easterseals Nebraska Barrier-free camp and recreation program offering life-changing opportunities for people with disabilities to develop independence, healthy relationships, and self-esteem. Currently developing a 64-acre semi-wooded campus in Blair, Nebraska.

Quantifiable outcome

• 50,432 clients served in 2024; 47,602 clients served agency-wide in 2025
• +6 more outcomes

Named customers7 records

Segments6 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Ten partnerships are on record, tiered core, major and minor.

• Easterseals NebraskacoreStrategic or Co-development Partner · 1 January 2012Easterseals Nebraska merged operations with VNA in 2012 to optimize economies and synergies. Easterseals provides services for people with disabilities including job training, camp and recreation, financial services with low-interest loans, and AgrAbility agricultural rehabilitation. The combined organization serves a broader population with complementary services.
• Josie Harper Hospice House (Hospice House)coreStrategic or Co-development PartnerSponsored by CHI Health, Methodist Hospital, VNA, and Nebraska Medicine, Hospice House provides comfortable, home-like hospice care for those who have chosen comfort care. VNA serves as a sponsor and partner in this end-of-life care facility serving the Omaha community.
• CHI Health Immanuel and Creighton University Medical Center - Bergan MercycoreStrategic or Co-development PartnerPartner hospitals for Family Connects program providing nurse home visits for every parent and baby born at these facilities. VNA sends nurses to deliver postpartum support and assessments in Douglas County.
• Nebraska MedicinemajorStrategic or Co-development PartnerNebraska Medicine partnered with VNA to transition VNA's Home Infusion Pharmacy to their organization in 2023. Nebraska Medicine also sponsors Hospice House and collaborates on healthcare services.
• 13 Homeless and Domestic Violence ShelterscoreStrategic or Co-development PartnerVNA is the primary provider of nursing services in Omaha metro area homeless shelters including Siena Francis House, Open Door Mission, Stephen Center, Bethlehem House, Micah House, and others. VNA nurses provide health screenings, treatments, medication management, prenatal education, and referrals at each shelter.
• Legal Aid of NebraskaminorStrategic or Co-development PartnerPartnership to provide video legal resources to clients navigating legal issues related to their diagnosis, including SSI/SSDI benefits, power of attorney, and employment rights during treatment.
• Nebraska Early Childhood CollaborativecoreStrategic or Co-development PartnerPartner organization for the Love & Learn program providing free home visitations for pregnant and parenting teens and young adults in Douglas and Sarpy counties.
• UNL ExtensionmajorStrategic or Co-development PartnerPartnership for AgrAbility demonstration farm as part of Camp Easterseals Nebraska development in Blair, Nebraska. UNL Extension provides agricultural education expertise.
• Community AlliancecoreStrategic or Co-development PartnerMental health services partner that helps shelter nursing clients stabilize mental health and access benefits. VNA collaborates with Community Alliance to connect clients to services beyond healthcare.
• Together (nonprofit)minorStrategic or Co-development PartnerNonprofit partner that VNA collaborates with when clients have needs outside of healthcare, providing additional resources for housing, food, and social services.

Scale indicators16 records

Recent moves8 records

Expansion highlights4 records

Broad incumbents

• Interim HealthCare: National franchise network providing home health, hospice, and personal care across the U.S.; comparable service mix including non-medical home care and skilled home health.
• BrightSpring Health Services: Diversified home and community-based health services provider with personal care, home health, and pharmacy services; relevant incumbent comparable across multiple service lines.
• LHC Group: National home health, hospice, and palliative care provider (now part of UnitedHealth/Optum); broad incumbent offering similar clinical services and serving similar payer types as VNA at significantly larger scale.
• Amedisys: National for-profit home health and hospice provider with broad payer relationships; relevant incumbent comparable that competes for skilled Medicare home health volume and has scaled clinical operations across geographies.

Direct peers

• Addus HomeCare: Public personal care and home health provider serving Medicaid and dual-eligible populations; comparable to VNA in serving under-resourced populations through home-based care delivery.
• VNA Health Group: Nonprofit Visiting Nurse Association operating across New Jersey with home health, hospice, and community-based programs; structurally analogous to VNA in mission, service mix, and payer mix, making it the closest like-for-like nonprofit VNA peer.
• Bayada Home Health Care: Large nonprofit home health provider offering home health, hospice, and personal care services across multiple states; directly comparable in mission, service breadth, and skilled/non-skilled care delivery.
• Help at Home: Personal care services provider focused on Medicaid waiver populations and elderly/disabled clients in their homes; directly comparable in serving under-resourced populations with home health aide services.
• Visiting Nurse Service of New York (VNSNY): Large nonprofit visiting nurse organization providing home health, hospice, and personal care in the New York metro; comparable nonprofit VNA model with similar payer mix (Medicare/Medicaid) and community-mission orientation.

Others

• Easterseals: National nonprofit network of which Easterseals Nebraska is an affiliate; comparable in operating disability services, camp/recreation, and workforce programs that overlap with the Easterseals Nebraska sub-brand of VNA.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/vnatoday
• Facebookfacebook.com/visitingnurseassociation
• LinkedInlinkedin.com/company/visiting-nurse-association

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Visiting Nurse Association